George Blake

NPI1376152124

Summary

Provider Details

NPI Number 1376152124
Provider Name George Blake
Credential
Specialization
Medical School Name
Graduation Year
Gender
Entity Type Individual
PAC ID by PECOS
Professional Enrollment ID
Enumeration Date 07/28/2020
Last Update Date 07/28/2020

Contact Details

Business Practice address 581 KAMOKU ST APT 2008, Honolulu,
96826-5210 Hawaii View on Google Map
Business Practice phone 808-383-5189
Business Practice fax
Mailing address 581 KAMOKU ST APT 2008, Honolulu,
96826-5210 Hawaii View on Google Map
Other phone
Other fax
Email Address shannonfig@domain.com Reval Email Address
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Hospital Affilitation

Practices in Honolulu

Honolulu, Hawaii

Newsletter for Healthcare Professionals

Provider Taxonomy Details

Primary Taxonomy
Speciality
Grouping name
Taxonomy

Reference NPI Information (as per NPPES NPI Record)

Field Name Field Value
NPI 1376152124
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Individual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor Y
Indicate whether provider is a sole proprietor.
  • A sole proprietor is the sole (the only) owner of a business that is not incorporated; that unincorporated business is a sole proprietorship.
  • In a sole proprietorship, the sole proprietor owns all of the assets of the business and is solely liable for all of the debts of the business.
  • There is no difference between a sole proprietorship and a sole proprietor; they are legally a single entity: an individual.
  • In terms of NPI assignment, a sole proprietor is an Entity type 1 (Individual) and is eligible for only one NPI (the sole proprietorship business is not eligible for its own NPI).
  • As an individual, a sole proprietorship cannot be a subpart and cannot have subparts. (See NPI Final Rule for information about subparts.)
  • A sole proprietorship may or may not have employees.
  • Often, the IRS assigns an EIN to a sole proprietorship in order to protect the sole proprietor's SSN from disclosure in claims or on W-2s. NPPES does not capture a sole proprietorship's EIN.
  • Many types of health care providers could be sole proprietorships (for example, group practices, pharmacies, home health agencies).
Provider Last Name (Legal Name) Blake
The last name of the provider (if an individual). If the provider is an individual, this is the legal name. This name must match the name on file with the Social Security Administration (SSA). In addition, the date of birth must match that on file with SSA. (First and last names are required for initial applications.) The First, Middle, Last and Credential(s) fields allow the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Name George
The first name of the provider, if the provider is an individual.
Provider Credential Text
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider First Line Business Mailing Address 581 KAMOKU ST APT 2008
The first line mailing address of the provider being identified. This data element may contain the same information as ''Provider first line location address''.
Provider Business Mailing Address City Name Honolulu
The City name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address City name''.
Provider Business Mailing Address State Name Hawaii
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address State name''.
Provider Business Mailing Address Postal Code 96826-5210
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ''Provider location address postal code''.
Provider Business Mailing Address Country Code US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address country code''.
Provider First Line Business Practice Location Address 581 KAMOKU ST APT 2008
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name Honolulu
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name Hawaii
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code 96826-5210
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number 808-383-5189
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date 07/28/2020
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date 07/28/2020
The date that a record was last updated or changed.
Healthcare Provider Taxonomy Code #1 174200000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1 A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Healthcare Provider Taxonomy #1
Healthcare Provider Primary Taxonomy Switch 1 Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.